CAJ | 학술논문

目的观察简易太极拳锻炼对稳定期慢性阻塞性肺疾病(COPD)患者运动耐力和生活质量的影响.方法 2010年5月至2011年3月,分批招募广州市荔湾、越秀及海珠3个行政区的70例稳定期COPD患者按性别和年龄(相差±2岁)配对入组,太极拳组35例患者在社区进行3个月的简化24式太极拳锻炼,对照组35例患者给予常规的院外管理.采集患者一般资料、病史、吸烟状况及用药情况,实验前后分别进行肺通气功能、COPD临床问卷(CCQ)评分、6 min步行距离和呼吸困难Borg评分等指标的测定.结果共63例完成3个月的试验,其中太极拳组33例(95.3％),对照组30例(86.7％).太极拳组和对照组在年龄、男性比例、体质指数、常规用药比例、病程、吸烟者比例、6 min步行距离、CCQ总分及症状、活动部分评分等基线资料差异均无统计学意义(均P＞0.05).试验后太极拳组6 min步行距离较试验前提高了(51±55)m,而对照组减小了(19±58)m,两组差异有统计学意义(P＜0.01).试验后太极拳组和对照组CCQ总分分别下降(-5.81±9.41)和(0.90±8.87),症状部分评分分别下降下降(-3.79±6.17)和(1.07±5.48),活动部分评分分别下降(-2.09±3.98)和(-0.13±3.85),差异均有统计学意义(均P＜0.05).试验后太极拳组患者的用力肺活量(FVC)、第1秒用力呼气量(FEV1)及其占预计值的百分比(FEV1％预计值)均有一定改善,步行前后的Borg评分有下降,呼吸困难症状得到改善,但组间差异均无统计学意义(均P＞0.05).结论简易太极拳锻炼能够提高患者的运动耐力,改善患者生活质量,适合作为社区稳定期COPD患者康复治疗方法之一.
목적 관찰간역태겁권단련대은정기만성조새성폐질병(COPD)환자운동내력화생활질량적영향.방법 2010년5월지2011년3월,분비초모엄주시려만、월수급해주3개행정구적70례은정기COPD환자안성별화년령(상차±2세)배대입조,태겁권조35례환자재사구진행3개월적간화24식태겁권단련,대조조35례환자급여상규적원외관리.채집환자일반자료、병사、흡연상황급용약정황,실험전후분별진행폐통기공능、COPD림상문권(CCQ)평분、6 min보행거리화호흡곤난Borg평분등지표적측정.결과 공63례완성3개월적시험,기중태겁권조33례(95.3％),대조조30례(86.7％).태겁권조화대조조재년령、남성비례、체질지수、상규용약비례、병정、흡연자비례、6 min보행거리、CCQ총분급증상、활동부분평분등기선자료차이균무통계학의의(균P＞0.05).시험후태겁권조6 min보행거리교시험전제고료(51±55)m,이대조조감소료(19±58)m,량조차이유통계학의의(P＜0.01).시험후태겁권조화대조조CCQ총분분별하강(-5.81±9.41)화(0.90±8.87),증상부분평분분별하강하강(-3.79±6.17)화(1.07±5.48),활동부분평분분별하강(-2.09±3.98)화(-0.13±3.85),차이균유통계학의의(균P＜0.05).시험후태겁권조환자적용력폐활량(FVC)、제1초용력호기량(FEV1)급기점예계치적백분비(FEV1％예계치)균유일정개선,보행전후적Borg평분유하강,호흡곤난증상득도개선,단조간차이균무통계학의의(균P＞0.05).결론 간역태겁권단련능구제고환자적운동내력,개선환자생활질량,괄합작위사구은정기COPD환자강복치료방법지일.
Objective To evaluate the effects of shadow boxing training on the exercise endurance and quality of life of Chinese patients with COPD (chronic obstructive pulmonary disease).Methods From May 2010 to March 2011,a total of 70 COPD patients in stable phases were recruited from Liwan,Yuexiu and Haizhu districts of Guangzhou. There were 35 patients in the shadow boxing exercise group and 35 patients in the control group.And they were matched by gender and age.The patients in the shadow boxing group exercised for 3 months while those in the control group received the conventional out-hospital management only.Their demographic,medical history,smoking status,medicinal use,spirometric data,clinical COPD questionnaire (CCQ) scores,6-minute walking distance and Borg scores were collected before and after trial.Results A total of 63 COPD patients (33 in shadow boxing group vs.30 in control group) completed the study.There was an average dropout rate of 5.7％ (2/35) in shadow boxing group and 14.3％ (5/35) in control group.No differences existed between two groups in age (67±8 vs 69±9 yr),male proportion (84.8％ vs 86.7％),body mass index (22.8±2.6 vs 22.7±3.0),usage proportion of medicine (42.4％ vs 33.3％),duration of disease (4.0±7.5 vs 5.5±7.3),percentage of smokers (78.8％ vs 80.0％),6-minute walking distance (447±94 vs 414±100),CCQ total score (15.0±9.4 vs 14.1±8.8),CCQ symptom score (9.2±5.6 vs 8.3±5.0) and activity score (5.8±4.5 vs 5.8±4.4)at baseline (all P＞0.05).At the end of study,the 6-minute walking distance of patients had statistical differences between two groups (P＜0.01).The shadow boxing group increased by (51±55) m while the control dropped by (19±58) m.The total score,symptom score and activity score of clinical COPD questionnaire had statistical differences between two groups. They decreased significantly in the shadow boxing group as compared with the baseline data while there was no significant change in the control group.No statistical differences existed between two groups in the changes of forced vital capacity (FVC),forced expiratory volume in one second (FEV1),FEV1％ pred,Borg score and dyspnea scales.Conclusion Capable of improving the exercise endurance and life quality of COPD patients,shadow boxing exercise may become one of effective rehabilitation programs for COPD patients in stable phases in communities.